Life Policy ProvisionsQuestion 281 of 716

A policyowner-insured becomes totally disabled at age 42 and the disability continues for the required elimination period. Under a standard 'Waiver of Premium' rider, the insurer will:

a.Suspend the policy for the length of the disability and reinstate it only when the insured returns to work, with every missed premium added back afterward as an interest-bearing loan charged against the cash value
b.Convert the policy to a paid-up endowment immediately for a reduced face amount, ending the original coverage and every rider attached to it as of the date the elimination period is satisfied, with no later reinstatement allowed
c.Refund all premiums paid since the policy was issued and then carry the coverage at no charge for as long as the insured remains totally disabled under the rider's own definition, treating the refund as a return of basis
d.Pay the policy's required premiums on behalf of the insured for the duration of the qualifying total disability, keeping the policy and its benefits in force without the insured having to make payments

Explanation

A Waiver of Premium rider (governed in California by Insurance Code §10170 and the policy form filed with the CDI) is a disability income benefit attached to a life policy. When the insured-policyowner becomes totally disabled (as defined in the rider) for longer than the elimination period (commonly 4-6 months), the INSURER pays the policy's required premiums on the policyowner's behalf, keeping the contract fully in force, including continued cash value growth, dividend accrual, and the right to keep all riders. When the insured recovers, the policyowner resumes premium payments. Refunding all premiums paid since issue and then carrying the coverage free is wrong; prior premiums are not refunded. Suspending the policy during the disability and adding the missed premiums back afterward as an interest-bearing loan is wrong; the policy stays in force, it is not suspended. And converting the contract immediately to a paid-up endowment for a reduced face amount confuses the rider with a reduced-paid-up nonforfeiture election. The rider's value lies in preserving coverage exactly when the insured can least afford to pay.

Law Reference: California Insurance Code §10170 (waiver of premium rider)

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PrepPass team · Verified against California Life & Health Insurance License Exam · How we review
Reviewed by John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verify)
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